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HB1108

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DHFS-LIVE-IN CAREGIVER WAIVER

What this bill does

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in accordance with federal guidance issued by the federal Centers for Medicare and Medicaid Services, the Department of Healthcare and Family Services shall exempt from electronic visit verification requirements all live-in caregivers who provide Medicaid-funded personal care services or home health care services under the Illinois Title XIX State Plan or a waiver of the plan, including personal care services and home health care services provided under various home and community-based services waiver programs authorized under the Social Security Act. Defines "live-in caregiver". Grants the Department rulemaking authority. Effective immediately.

Sponsor: Charles Meier Chamber: House Introduced: 2025-01-03
→ Passed
P(Advance)
53.1%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
10.3%
Chance it becomes law given where it is now (stage, momentum).
Forecast
0.7%
Low P(law) at intro — sponsor & topic only; no progress or delay.
Confidence: 53%

Calculating prediction drivers...

Pipeline Progress

Current stage: Crossed Chambers · Last action 365 days ago

How does a bill become law in Illinois?
  1. Introduction of Bill

    A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. Passage and Consideration in Second Chamber

    If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.

  6. Gubernatorial Action

    The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.

Sponsor Context

Public Engagement

11 witness slips filed 4 proponents / 5 opponents 5 organizations
Anomaly Detected: single org files 64% of slips; near-unanimous position (>95% one side); high org concentration (HHI=0.44)

Witness slips

11 slips filed. Proponent / opponent / no position as filed with the committee.

Name Organization Representing Position Hearing committee Hearing date
Angela Raymer CCSI Case Coordination LLC Self Proponent Human Services 2025-03-05
David Schwartz Self Self Proponent Human Services 2025-02-26
Christine Chalkey IL Home and Community Based Waiver Program Parents of Live-in Caretakers in the IL HCBS Program Proponent Human Services 2025-02-19
David Schwartz Self Self Proponent Human Services 2025-02-19
Dennis Deany Self Self Opponent Human Services 2025-03-12
Dennis Deany Self Self Opponent Human Services 2025-03-20
Dennis Deany Self Self Opponent Human Services 2025-03-19
Dennis Deany Self Self Opponent Human Services 2025-03-20
Dennis Deany Self Self Opponent Human Services 2025-03-19
Luis Andrade IARF Community-based providers serving children and adults with intellectual-developmental disabilities and serious mental illnesses. No Position On Merits Human Services 2025-03-19
Patrick Hostert Dept. of Healthcare & Family Services IL Department of Healthcare & Family Services No Position On Merits Human Services 2025-03-19

Roll-call votes

Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.

Date Chamber Type Description Yea Nay Present NV Outcome Margin Deciding voters
H Committee Human Services 9 1 0 2 Passed 8 —
H Floor Third Reading 105 1 0 12 Passed 104 —

Action History

23 actions recorded. Last action: 2025-04-09 — Referred toAssignments. Each action's meaning and outcome signal are classified automatically.

2025-01-03 Introduction & Filing
Prefiled with Clerk byRep. Charles Meier Senate Rule 5-1(d); House Rule 37(d)
Bill submitted before the legislative session officially begins. No impact on outcome yet.
2025-01-09 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-01-09 Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-04 Committee Assignment
Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-02-18 Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Charles Meier
[Amendment] Amendment sub-action.
2025-02-18 Amendment Actions
House Committee Amendment No. 1 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-25 Amendment Actions
House Committee Amendment No. 1 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-05 Amendment Actions
House Committee Amendment No. 2 Filed with Clerk byRep. Charles Meier
[Amendment] Amendment sub-action.
2025-03-05 Amendment Actions
House Committee Amendment No. 2 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-11 Amendment Actions
House Committee Amendment No. 2 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-19 Amendment Actions
House Committee Amendment No. 2 Adopted inHuman Services Committee; by Voice Vote
[Amendment] Amendment sub-action.
2025-03-19 Committee Action Positive
Do Pass as Amended / Short DebateHuman Services Committee; 009-001-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19 Amendment Actions Mild −
House Committee Amendment No. 1 Tabled
[Amendment] Bill tabled — temporarily set aside. In IL, tabling is less final than in Congress; bills can be brought back (Rule 7-11). But it's a negative signal when the bill itself (not an amendment) is tabled.
2025-03-19 Floor Process Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-03-20 Co-Sponsorship Mild +
Added Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-03-25 Floor Process Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-03-25 Floor Process Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-07 Floor Vote Positive
Third Reading - Short Debate - Passed105-001-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-04-08 Cross-Chamber Positive
Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House bill arrives in the Senate after passing the House.
2025-04-08 Procedural
Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-09 Cross-Chamber Positive
Chief Senate SponsorSen. Sue Rezin Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-09 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-09 Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.

All actions (table)

Date Chamber Action Category Signal
2025-01-03 House Prefiled with Clerk byRep. Charles Meier Senate Rule 5-1(d); House Rule 37(d) Introduction & Filing —
2025-01-09 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-01-09 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-02-04 House Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-02-18 House House Committee Amendment No. 1 Filed with Clerk byRep. Charles Meier Amendment Actions —
2025-02-18 House House Committee Amendment No. 1 Referred toRules Committee Amendment Actions —
2025-02-25 House House Committee Amendment No. 1 Rules Refers toHuman Services Committee Amendment Actions —
2025-03-05 House House Committee Amendment No. 2 Filed with Clerk byRep. Charles Meier Amendment Actions —
2025-03-05 House House Committee Amendment No. 2 Referred toRules Committee Amendment Actions —
2025-03-11 House House Committee Amendment No. 2 Rules Refers toHuman Services Committee Amendment Actions —
2025-03-19 House House Committee Amendment No. 2 Adopted inHuman Services Committee; by Voice Vote Amendment Actions —
2025-03-19 House Do Pass as Amended / Short DebateHuman Services Committee; 009-001-000 Rule 3-11(a)(1), Rule 3-12(a) Committee Action Positive
2025-03-19 House House Committee Amendment No. 1 Tabled Amendment Actions Mild −
2025-03-19 House Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 Floor Process Positive
2025-03-20 House Added Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-03-25 House Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) Floor Process Positive
2025-03-25 House Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) Floor Process Positive
2025-04-07 House Third Reading - Short Debate - Passed105-001-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 Floor Vote Positive
2025-04-08 Senate Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber Positive
2025-04-08 Senate Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54 Procedural —
2025-04-09 Senate Chief Senate SponsorSen. Sue Rezin Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber Positive
2025-04-09 Senate First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-04-09 Senate Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —